CLIA lab
CLIA 36D1036912: Licking Memorial Dermatology - DR Bethany Wyles
Heath, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D1036912 belongs to Licking Memorial Dermatology - DR Bethany Wyles in Heath, OH.
Certificate of Waiver, effective March 21, 2025, expires March 20, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 21, 2025
- Certificate expiration
- March 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 11, 2005
- Facility type
- Physician office
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 36D1036912
- Lab name
- Licking Memorial Dermatology - DR Bethany Wyles
- Address
- 687 Hopewell Drive, Building #2, Heath, OH 43056
- Phone
- (220) 564-1837
- Fax
- (220) 564-7916
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Family Urgent CareCertificate of Waiver, Other36D2088375
- Genesis UrogynecologyCertificate of Waiver, Physician office36D2183084
- Heath Health and Rehab Center, LLCCertificate of Waiver, Skilled nursing or nursing facility36D0655750
- Kroger PharmacyCertificate of Waiver, Pharmacy36D2112422
- Licking Memorial Family Practice HeathCertificate of Waiver, Physician office36D1036911
- Walgreens #10810Certificate of Waiver, Pharmacy36D2011627
- Walmart Pharmacy #10-1594Certificate of Waiver, Pharmacy36D2167084
Related
Questions
What is the CLIA number for Licking Memorial Dermatology - DR Bethany Wyles in Heath?
36D1036912, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Licking Memorial Dermatology - DR Bethany Wyles hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D1036912 expire?
The CMS file lists March 20, 2027 as the certificate expiration date; the certificate took effect March 21, 2025.